scholarly journals Cognitive functions in acute unilateral vestibular loss

2020 ◽  
Vol 267 (S1) ◽  
pp. 153-159 ◽  
Author(s):  
Dilara Aktert Ayar ◽  
Emre Kumral ◽  
Nese Celebisoy
Keyword(s):  
Verbal Memory ◽  
Digit Span ◽  
Line Orientation ◽  
Depression And Anxiety ◽  
Vestibular Loss ◽  
Canal Paresis ◽  
Complex Figure ◽  
Visuospatial Functions ◽  
Figure Test ◽  
Orientation Test

AbstractCognitive deficits mainly involving visuospatial functions have been defined in patients with bilateral and even unilateral vestibular loss (UVL). We compared the cognitive test results of 21 patients with acute UVL with age- and education-matched healthy controls. The diagnosis of UVL was based on the clinical findings, a normal magnetic resonance imaging with diffusion-weighted sequence and canal paresis on the affected side on caloric testing. Cognitive tests assessing visuospatial functions (Benton’s Judgment of Line Orientation test, Verbal and non-verbal Cancellation tests, Rey–Osterrieth Complex Figure test) and global mental status, verbal memory, learning, retention of information, and recalling (Mini Mental State Examination, Oktem Verbal Memory Process Test, Forward and Backward Digit span) were used in addition to Beck depression and Anxiety inventories. Abnormalities in verbal and non-verbal cancellation tests (p < 0.005), Benton’s Judgment of Line Orientation test (p = 0.042) and backward digit span (p = 0.029) was found. A very prominent difference regarding Beck depression (p = 0.012) and anxiety inventories (p < 0.001) was present. On multiple regression analysis, the abovementioned cognitive tests’ results lost their statistical significance (p > 0.05) when depression and anxiety scores were taken into consideration. The severity of canal paresis was found to be correlated with Benton’s Judgment of Line Orientation test (p = 0.008, r = − 0.5639) and Rey–Osterrieth Complex Figure test copying scores (p = 0.029, r = − 0.477). Comparison of all the results in right- and left-sided lesions did not reveal a significant difference (p > 0.05). Vestibular patients are prone to develop anxiety, and depression. Deficits in visuospatial functions, mental manipulation, psychomotor speed and short-term memory detected in our patients with acute UVL seem to be enhanced by accompanying anxiety and depression. The extent of vestibular dysfunction was correlated with the severity of deficits in visuospatial skills. Lesion side did not cause alterations in cognitive or emotional status.

Validität und Reliabilität von Beschwerdenvalidierungstests und -indikatoren

2006 ◽  
Vol 17 (1) ◽  
pp. 35-44 ◽  
Author(s):  
Nina Blaskewitz ◽  
Thomas Merten
Keyword(s):  
Digit Span ◽  
Symptom Validity ◽  
Kognitive Störungen ◽  
Neuropsychologische Tests ◽  
Complex Figure ◽  
Trail Making ◽  
Symptom Validity Test ◽  
Figure Test ◽  
Rey Complex Figure ◽  
Orientation Test

Zusammenfassung: Beschwerdenvalidierungstests (BVT) dienen zur Überprüfung der Gültigkeit erhaltener Testprofile. Im Rahmen eines Analogdesigns wurden drei BVT (Medical Symptom Validity Test MSVT, Amsterdamer Kurzzeitgedächtnistest AKGT, One-in-Five Test) sowie eine Reihe von Beschwerdenvaliditätsindikatoren anderer Tests auf ihre Güte überprüft. 24 jüngere Erwachsene mit dem Mindestbildungsabschluss Abitur zeigten in der Untersuchung entweder ihre volle Leistung oder waren instruiert, entsprechend einem detaillierten Szenario überzeugend kognitive Störungen vorzutäuschen. Neben den drei BVT wurden folgende neuropsychologische Tests durchgeführt: der Trail Making Test (TMT), der Rey Complex Figure Test and Recognition Trial (RCFT), der Test d2, der Judgment of Line Orientation Test (JLO) und das Zahlennachsprechen des HAWIE-R, woraus auch die Reliable Digit Span (RDS) bestimmt wurde. Für den MSVT, den AKGT und die RDS konnten durch Testwiederholung nach zwei bis drei Tagen bzw. Einsatz einer Äquivalenzform des MSVT Reliabilitätsangaben erhalten werden. Für den AKGT und den MSVT-Durchgang Verzögerte Wiedererkennung ergaben sich zufrieden stellende Reliabilitätskoeffizienten (mit Phi-Koeffizienten von je 0.92), die für die RDS niedriger ausfielen (0.74). Die Ergebnisse zeigen auch eine gute Klassifikationsgüte für die BVT und die RDS, die zwischen 100 % (AKGT) und 79 % (One-in-Five Test) lag. Andere Validitätsindikatoren, die aus TMT, d2 und JLO ermittelt werden, schnitten schlechter ab. Während BVT gegenwärtig die best entwickelte Methodenklasse zur Diagnostik suboptimalen Leistungsverhaltens darstellen, sollte die Güte von Beschwerdenvaliditätsindikatoren, die aus Standardtests abgeleitet werden, deutlich besser überprüft werden, bevor ihr Einsatz in der Einzelfalldiagnostik in Frage kommt.

Comparison of Neuropsychological Assessment by Videoconference and Face to Face

2021 ◽  
pp. 1-11
Author(s):  
Richard Gnassounou ◽  
Bénédicte Defontaines ◽  
Séverine Denolle ◽  
Stéphanie Brun ◽  
Raphaël Germain ◽  
...  
Keyword(s):  
Neuropsychological Assessment ◽  
Digit Span ◽  
Cognitive Disorders ◽  
Face To Face ◽  
Complex Figure ◽  
Selective Reminding ◽  
Trail Making ◽  
Neuropsychological Assessments ◽  
Figure Test ◽  
Selective Reminding Test

Abstract Objective: To compare the administration of neuropsychological tests by teleneuropsychology (TeleNP) and face to face (F-F) in order to determine the feasibility and reliability of TeleNP. Method: At the inclusion visit, all participants underwent a traditional F-F neuropsychological assessment as part of their standard care. Four months after inclusion, they were randomized to undergo an additional neuropsychological assessment either by F-F administration or by TeleNP. Results: A total of 150 adults with cognitive complaints, but with no major cognitive or sensorial impairment were included. At 4 months, 69 participants were randomized in the F-F arm and 71 in TeleNP arm (10 lost in the follow-up). The overall satisfaction was high: 87.1% in the TeleNP arm were “very satisfied”, and 82.9% indicated no preference between F-F and TeleNP. In agreement with previous data from the literature, neuropsychological assessments gave similar results across both administration conditions for a large majority of tests [Mini-Mental State Examination (MMSE), Free and Cued Selective Reminding Test (FCSRT) French version, Mahieux gestural praxis battery, Frontal Assessment Battery (FAB), time of completion of the Trail making Test (TMT) A and B, number of errors of the TMT B, Rey complex figure test, categorical et phonological verbal fluency tests] and minor differences for others [80-picture naming test (DO-80), FAB, Digit Span forward and backward and number of errors in the TMT A]. Conclusions: TeleNP is a promising method to be able to test patients as an alternative to F-F condition. Before this procedure can be generalized, it is now necessary to standardize the adaptation of certain tests and to test them in populations with more significant cognitive disorders.

scholarly journals A-182 Convergent and Divergent Validity of the ChAMP with the CVLT-C and RCFT in Children with Epilepsy

2020 ◽  
Vol 35 (6) ◽  
pp. 977-977
Author(s):  
David C ◽  
Brooks B ◽  
Macallister W
Keyword(s):  
Verbal Memory ◽  
Visual Memory ◽  
Verbal Learning ◽  
California Verbal Learning Test ◽  
Divergent Validity ◽  
Complex Figure ◽  
Visual Tasks ◽  
Convergent And Divergent Validity ◽  
Learning Test ◽  
Figure Test

Abstract Objective As new measures of memory become available, clinicians may be cautious to adopt them without evidence supporting their validity. The present study assesses the convergent and divergent validity of the Child and Adolescent Memory Profile (ChAMP), with the California Verbal Learning Test Children’s (CVLT-C) and the Rey Complex Figure Test (RCFT) in children with epilepsy. Method Twenty four clinically referred children (16 female, 8 male, - age = 12.37 years, SD = 2.68) completed the ChAMP, CVLT-C, and RCFT. Pearson correlations assessed the ChAMP’s convergent and divergent validity with the CVLT-C and the RCFT. Base rate of impairment was calculated for scores ≤2nd percentile. Results The ChAMP verbal tasks demonstrated strong relations with CVLT-C (lists; r = 0.678 p = &lt; .001, instructions; r = 0.724 p = &lt; .001 with CVLT-C learning trials and ChAMP lists free recall with CVLT-C long delay r = 0.580 p = .003). The ChAMP visual tasks correlated strongly with the RCFT delay (objects; r = 0.570 p = .004, places; r = 0.619 p = .001, Visual Memory Index; r = 0.657 p = &lt; .001). However, divergent validity was limited as ChAMP Verbal Memory Index correlated with RCFT delay (r = 0.550 p = .005) and ChAMP Visual Memory Index with CVLT-C delay (r = 0.606 p = .002). Eight percent were deemed impaired on ChAMP lists delay similar to the CVLT-C delay (13%), however, ChAMP places delay identified 21% impaired, compared to the RCFT delay (42%). Conclusions ChAMP scores are strongly correlated with older established measures, but identify fewer cases as clinically impaired. This may reflect the more contemporary normative data or the fact that ChAMP tasks are less multifactorial in nature than are the CVLT-C and RCFT.

scholarly journals Endovascular treatment and cognitive outcome after anterior circulation ischemic stroke

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Simona Lattanzi ◽  
Michela Coccia ◽  
Alessandra Pulcini ◽  
Claudia Cagnetti ◽  
Federica Lucia Galli ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Digit Span ◽  
Verbal Learning ◽  
Cognitive Outcome ◽  
Anterior Circulation ◽  
Immediate Recall ◽  
Complex Figure ◽  
Rey Complex Figure Test ◽  
Figure Test ◽  
Rey Complex Figure

Abstract The impact of reperfusion therapies on cognition has been poorly explored and little knowledge exists. We explored the influence of endovascular treatment (EVT) on cognitive outcome in patients with anterior circulation ischemic stroke. Patients presenting with ischemic stroke due to anterior large vessel occlusion who underwent intravenous thrombolysis (IVT) alone or EVT plus IVT were recruited. Cognitive abilities were evaluated at 6 months from stroke through a neuropsychological test battery. A total of 88 patients with a mean age of 66.3 ± 12.9 years were included, of which 38 treated with IVT alone and 50 with IVT plus EVT. Compared to patients treated with IVT alone, patients who received EVT plus IVT performed significantly better at the neuropsychological tests exploring executive functions, attention, abstract reasoning, visuospatial ability, visual and verbal and memory. At multivariable regression analysis, the EVT was independently associated with the 6-month cognitive performance after the adjustment for age, sex, admission National Institutes of Health Stroke Scale score, systolic blood pressure, glucose level, Alberta Stroke Program Early CT score, side of stroke, site of occlusion, and Back Depression Inventory score [Stroop Test Word Reading: adjβ = 13.99, 95% confidence interval (CI) 8.47–19.50, p < 0.001; Stroop Test Colour Naming: adjβ = 6.63, 95% CI 2.46–10.81, p = 0.002; Trail Making Test-A: adjβ = − 92.98, 95% CI − 153.76 to − 32.20, p = 0.003; Trail Making Test-B: adjβ = − 181.12, 95% CI − 266.09 to − 96.15; p < 0.001; Digit Span Test Forward: adjβ = 1.44, 95% CI 0.77–2.10, p < 0.001; Digit Span Test Backward: adjβ = 1.10, 95% CI 0.42–1.77, p = 0.002; Coloured Progressive Matrices: adjβ = 5.82, 95% CI 2.71–8.93, p < 0.001; Rey Complex Figure Test-Copy: adjβ = 6.02, 95% CI 2.74–9.30, p < 0.001; Rey Complex Figure Test-Immediate recall: adjβ = 6.00, 95% CI 2.34–9.66, p = 0.002; Rey Complex Figure Test-Delayed recall: adjβ = 5.73, 95% CI 1.95–9.51, p = 0.003; Rey Auditory Verbal Learning Test-Immediate recall: adjβ = 12.60, 95% CI 6.69–18.52, p < 0.001; Rey Auditory Verbal Learning Test-Delayed recall: adjβ = 1.85, 95% CI 0.24–3.45, p = 0.025]. Patients treated with EVT plus IVT had better cognitive performance than patients treated with IVT alone at 6 months from anterior circulation ischemic stroke.

scholarly journals Impaired Recent Verbal Memory in Pornography-Addicted Juvenile Subjects

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Pukovisa Prawiroharjo ◽  
Hainah Ellydar ◽  
Peter Pratama ◽  
Rizki Edmi Edison ◽  
Sitti Evangeline Imelda Suaidy ◽  
...  
Keyword(s):  
Verbal Memory ◽  
Visual Memory ◽  
Verbal Learning ◽  
Auditory Verbal Learning Test ◽  
Complex Figure ◽  
Auditory Verbal Learning ◽  
Pornography Addiction ◽  
Trail Making ◽  
Learning Test ◽  
Figure Test

We aimed to find the differences in memory capabilities between pornography-addicted and nonaddicted juveniles. We enrolled 30 juveniles (12–16 y) consisting of 15 pornography addiction and 15 nonaddiction subjects. We used Rey Auditory Verbal Learning Test (RAVLT) to measure verbal memory, Rey–Osterrieth Complex Figure Test (ROCFT) for visual memory, along with Trail Making Test A and B (TMT-A and TMT-B) for attention. We found a significant reduction in the RAVLT A6 result of the addiction group (nonaddiction vs addiction: 13.47 ± 2.00 vs 11.67 ± 2.44, MD = −1.80, p=0.04), but not in ROCFT or attention tests. Analysis in sex subgroups yielded no sex-specific difference. We concluded that pornography addiction may be associated with impaired recent verbal memory in juveniles, regardless of sex and without association to attention.

scholarly journals A-043 Preschool Children with Attention Deficit Have Weakness in Reproducing the Rey-Osterrieth Complex Figure in Delayed Recall Condition

2020 ◽  
Vol 35 (6) ◽  
pp. 833-833
Author(s):  
Kiselev S
Keyword(s):  
Preschool Children ◽  
Attention Deficit ◽  
Verbal Memory ◽  
Repeated Measures ◽  
Recall Condition ◽  
Control Group ◽  
Delayed Recall ◽  
Design Elements ◽  
Complex Figure ◽  
Figure Test

Abstract Objectives It was known that children with attention deficit (AD) have also weakness in working memory. In our previous research we have revealed that ADHD children have deficit in visual and verbal memory in delayed recall condition in comparison to immediate condition (Kiselev, 2018). The goal of this research was to examine the hypothesis that preschool children with AD have a deficit in reproducing the Rey-Osterrieth Complex Figure in delayed recall condition. Methods The experimental group included 13 children with AD at the age of 5-6 years. The control group included 13 typically developing children. The children from groups were matched for IQ, gender and age. Children from both groups were assessed with Rey–Osterrieth complex figure test (ROCF). This test is designed to assess reproducing the complex figure in immediate and delayed recall conditions. ANOVA with repeated measures was used to reveal group differences in reproducing the figure in two conditions. Results We have not revealed significant differences between children from experimental and control group in reproducing the figure in immediate condition. However, the interaction of condition type and group was significant (p &lt; .05). Children with AD had weakness in the accurate reproduction and placement of specific design elements of Rey-Osterieth Complex Figure in Delayed Recall condition. Conclusions In view of our previously received results in children with attention deficit, we can propose that deficit in memory in delayed recall condition can be one of the key symptoms in this disorder.

scholarly journals A-37 Effects of Atypical Language Representation in Populations Suffering From Intractable Epilepsy

2019 ◽  
Vol 34 (6) ◽  
pp. 896-896
Author(s):  
M Nagele ◽  
K Bailey ◽  
M Kolessar ◽  
T O'Neill ◽  
Z Yetkin
Keyword(s):  
Verbal Memory ◽  
Visual Memory ◽  
Refractory Epilepsy ◽  
Intractable Epilepsy ◽  
Cognitive Outcomes ◽  
Mesial Temporal Sclerosis ◽  
Lesion Location ◽  
Complex Figure ◽  
Figure Test ◽  
Language Laterality

Abstract Objective Atypical language laterality, secondary to refractory epilepsy, presents complications to surgical planning/cognitive outcomes. Extant research shows the non-dominant hemisphere reallocates neural resources for language compensation in response to left-sided lesions (resulting in decreased visuoperceptual/visual memory). The present study examined relationships between 1) lesion location and atypical language organization and 2) lesion location/language laterality on performance on memory (California Verbal Memory Test 2nd-edition (CVLT; Delayed Recall), and visuoperceptual (Rey-Osterrieth Complex Figure Test, ROCFT; Copy) tests in relation to lesion location in a sample of patients with intractable epilepsy. Method Retrospective data was compiled on patients with refractory epilepsy undergoing interdisciplinary pre-surgical workup (N = 101), mean age of 37.2 (SD = 11.9) and mean education of 12.3 (SD = 3.7). The sample was then stratified by non-lesional (n = 48), left (n = 26), right (n = 21) or bilateral (n = 6) mesial temporal sclerosis (MTL); and, language laterality was confirmed by neuroradiologists via functional Magnetic Resonance Imaging (fMRI) scans. Results Analyses showed patients with left MTS were more likely to have atypical language organization, X2 (1, N = 47) = 6.6, p = .01. Moreover, significant differences on T-scores for CVLT, F (3,15) = 3.81, p = .04, 95% Cl [-1.73, -.08] and ROCFT, F(4,28) = 2.85, p = .046 95% Cl [31.62, 46.17] were found between groups stratified by lesion location/language laterality, respectively. Conclusions Organization of language in epileptic populations presents atypically in conjunction with left-sided lesions. Additionally, cognitive processes such as verbal memory and visuoperceptual abilities suffer based on lesion presence/location and language laterality in this fMRI confirmed sample.

scholarly journals Regression-Based Normative Data for Independent and Cognitively Active Spanish Older Adults: Free and Cued Selective Reminding Test, Rey–Osterrieth Complex Figure Test and Judgement of Line Orientation

2021 ◽  
Vol 18 (24) ◽  
pp. 12977
Author(s):  
Eva Calderón-Rubio ◽  
Javier Oltra-Cucarella ◽  
Beatriz Bonete-López ◽  
Clara Iñesta ◽  
Esther Sitges-Maciá
Keyword(s):  
Older Adults ◽  
General Population ◽  
Normative Data ◽  
Line Orientation ◽  
Delayed Recall ◽  
Immediate Recall ◽  
Complex Figure ◽  
Selective Reminding ◽  
Figure Test ◽  
Selective Reminding Test

The aim of this work was to develop normative data for neuropsychological tests for the assessment of independent and cognitively active Spanish older adults over 55 years of age. Methods: regression-based normative data were calculated from a sample of 103 nondepressed independent community-dwelling adults aged 55 or older (66% women). The raw data for the Free and Cued Selective Reminding Test (FCSRT), the Rey–Osterrieth Complex Figure Test (ROCF) and the Judgement of Line Orientation Test (JLO) were regressed on age, sex and education. The model predicting the FCSRT delayed-recall (FCSRT-Del) scores also included the FCSRT immediate-recall (FCSRT-Imm) scores. The model predicting the ROCF immediate-recall (ROCF-Imm) scores included the ROCF copy-trial (ROCF-C) scores, and the model predicting the ROCF delayed-recall (ROCF-Del) scores included both the ROCF-C and the ROCF-Imm scores. In order to identify low scores, z-scores were used to determine the discrepancy between the observed and the predicted scores. The base rates of the low scores for both the SABIEX normative data and the published normative data obtained from the general population were compared. Results: the effects of the different sociodemographic variables (age, sex and education) varied throughout the neuropsychological measures. Despite finding similar proportions of low scores between the normative data sets, the agreement was irrelevant or only fair-to-good. Conclusions: the normative data obtained from the general population might not be sensitive enough to identify low scores in cognitively active older adults, incorrectly classifying them as cognitively normal compared to the less active population.

scholarly journals B-10 Cognition, Depressive Symptoms and Disability in Patients with Migraine

2019 ◽  
Vol 34 (6) ◽  
pp. 954-954
Author(s):  
L Sebrow ◽  
J Klepper ◽  
E Seng
Keyword(s):  
Depressive Symptoms ◽  
Digit Span ◽  
Verbal Learning ◽  
Graduate Degree ◽  
Semantic Fluency ◽  
Complex Figure ◽  
Headache Disability ◽  
Learning Test ◽  
Figure Test ◽  
The Relationship

Abstract Objective To examine the relationship between cognition and disability, and to evaluate the hypothesis that depressive symptoms moderate this relationship. Method Seventy-seven adults with migraine (M age = 45.2, SD = 7.4, 89.6% female, 85.7% White, Non- Hispanic, and 46.8% with a graduate degree) recruited from a headache center completed surveys assessing demographics, disability, (Headache Disability Inventory [HDI]), depressive symptoms (PROMIS Depression), and cognition (Trail Making Test, WAIS-IV Coding and Digit Span, Rey Auditory Verbal Learning Test, Rey Complex Figure Test, Stroop, Letter and Animal Fluency). Correlations examined relationships between cognition and disability; linear regressions examined the interaction between cognition and depressive symptoms on disability. Results Higher HDI was associated with lower Animal Fluency (ρ = -.28, p = .014) and Coding (r = -.23, p = .048). PROMIS Depression did not moderate the relationships between Coding (β = -.57, p = .443) and the HDI or Animal Fluency (β = -.69, p = .422) and the HDI. When controlling for the relationship between PROMIS Depression and HDI (β = .51=, p = < .01), Coding was no longer significant (β =-.09, p = .384). In another model, when controlling for the relationship between PROMIS Depression and HDI (β = .51=, p = < .01), Animal Fluency was no longer significant (β = -.15, p = .137). Conclusion Poorer performance on attention/processing speed and semantic fluency tasks were associated with headache-related disability. These relationships were not moderated by depressive symptoms and were no longer significant when adjusting for depressive symptoms.

scholarly journals Neuropsychological Pattern in a Series of Post-Acute COVID-19 Patients in a Rehabilitation Unit: Retrospective Analysis and Correlation with Functional Outcomes

2021 ◽  
Vol 18 (11) ◽  
pp. 5917
Author(s):  
Davide Antonio Di Pietro ◽  
Laura Comini ◽  
Lidia Gazzi ◽  
Alberto Luisa ◽  
Michele Vitacca
Keyword(s):  
Verbal Memory ◽  
Barthel Index ◽  
Digit Span ◽  
Clock Drawing Test ◽  
Complex Figure ◽  
Test Digit ◽  
Trail Making ◽  
Intensive Care Unit Delirium ◽  
Frontal Functions

Intensive Care Unit delirium, insomnia, anxiety, and frontal/dysexecutive disorders have been described following COVID-19 infection. The aim of this case study was to re-evaluate the neuropsychological pattern in a series of patients with COVID-19 outcomes. We retrospectively evaluated 294 patients admitted to the Istituti Clinici Scientifici Maugeri of Lumezzane (Brescia) (May–September 2020). Neuropsychological assessment was available for 12 patients. We extracted clinical, functional data (FIM and Barthel Index score) and neuropsychological tests (MMSE, Trail making a-b, verbal fluency test, digit span, prose memory test, Frontal Assessment Battery, clock drawing test, Rey–Osterrieth complex figure, Tower of London test). The results were analyzed by Spearman (rho) correlation. Six patients presented dysexecutive alterations even in the presence of normal overall cognitive functioning. Forward digit span score was directly correlated to FIM value at admission (p = 0.015) and inversely correlated to delta FIM (p = 0.030) and delta Barthel Index (p = 0.025). In our experience, subclinical cognitive alterations were present in 4% of patients recovering from COVID-19 pneumonia. The possible correlation between verbal memory and frontal functions, and the degree of functional impairment at admission and its subsequent improvement, underscores the importance of an adequate cognitive evaluation and rehabilitation.

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